【摘要】 目的 分析近10年肌少症-疼痛共病研究现状和前沿趋势。方法 检索2015年1月至2025年6月Web of Science核心合集中肌少症和疼痛共病相关文献，采用CiteSpace6.3.R1对文献的来源国家、作者、机构和关键词等进行文献计量分析。结果 最终纳入英文文献618篇。发文量呈逐年上升趋势。发文量最多的国家是日本，发文最多的机构是美国特种外科医院，发文量最多的作者是Andrew A Sama。共现频率前5位的关键词有sarcopenia、older adults、quality of life、 prevalence和low back pain。共现关键词可以分为cachexia、 fat infiltration、 surgical outcome、 paraspinal muscle和older adults等13个聚类。突现强度较高的关键词包括risk factors和osteoporosis,rheumatoid arthritis是近年出现的突现词。结论 肌少症和疼痛共病相关研究呈上升趋势，关联机制、风险因素和干预研究为研究热点。老年人仍是主要关注人群，恶病质、关节炎和数字干预可能为该领域未来的研究方向，未来应聚焦于肌少症与疼痛相关躯体共病的机制探讨，开发风险预警与分层模型及精准干预策略。更多还原

【Abstract】 Objective To analyze the current situation and frontier trends of sarcopenia and pain comorbidity in the last decade.Methods Literatures on sarcopenia and pain were retrieved in the Web of Science Core Collection, from January, 2015 to June, 2025, and analyzed with CiteSpace 6.3.R1, in terms of countries, authors, institutions and keywords.Results Finally, 618 English publications were enrolled, revealing a steady upward trajectory in annual publication output. Japan emerged as the leading contributor by publication volume, while the Hospital for Special Surgery(USA) ranked as the most productive institution. Andrew A Sama was identified as the most prolific author in this field. The top five high-frequency keywords included sarcopenia, older adults, quality of life, prevalence and low back pain. Co-occurrence network analysis yielded 13 distinct clusters, with prominent themes including cachexia, fat infiltration, surgical outcomes, paraspinal muscle and older adults, etc. Keywords with higher burst strength included risk factors and osteoporosis, while rheumatoid arthritis was an emerging burst term in recent years.Conclusion Global researches on sarcopenia and pain comorbidity have grown steadily. Hotspots focus on mechanisms, risk factors, diagnostic approaches and interventions, with older adults remaining the primary focus. Emerging directions may involve cachexia-related conditions, arthritis and technology-assisted interventions. Future work should clarify mechanistic links with pain-related comorbidities and develop risk prediction, stratification, and targeted intervention frameworks.更多还原